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TUPER, GALE TIMOTHY JR       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: VANCE AIR FORCE BASE
71ST MDG/SGOKF BLDG 810
ENID OK 73705-5105

Address last updated on 6/29/2001
Phone #: (580) 213-7964
Fax #:
County: GARFIELD
License: 21718
Dated: 7/26/2000
Expires: 7/1/2004
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: VANDERBILT UNIV SCH OF MED, NASHVILLE TN 37232
Graduated: 5 / 1998
CME Year: 2006
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
VANCE AIR FORCE BASE
71ST MDG/SGOKF BLDG 810
ENID OK 73705-5105

Phone #: (580) 213-7964
Fax #:

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